Meta-Analysishigh evidence
Lateral Extra-articular Procedures Decrease Rates of Graft Failure and Positive Pivot Shift in Primary Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis.
Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association·July 21, 2026·PMID 42478643
Why it mattersGraft failure and residual rotational laxity remain clinically important problems after primary ACL reconstruction. This meta-analysis provides high-level evidence that adding a lateral extra-articular procedure reduces these complications, which can guide surgical decision-making in patients at higher risk of re-rupture.
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